小儿原发性脑干损伤的临床特点与治疗（64例回顾性分析）

目的探讨小儿原发性脑干损伤患者的临床特点、治疗方法和疗效。方法对1995年1月至2004年10月间采用综合性治疗的原发性脑干损伤患儿的临床资料进行回顾性分析。结果64例患儿中,恢复良好31例,中残4例,重残4例,植物生存8例,死亡17例。结论小儿原发性脑干损伤的发生机理、临床表现及治疗均有与成人不同的特点,其预后较成人好。

Clinical Characteristics and Treatment of Primary Brain Stem Injury in Children: Retrospective Analysis of 64 Cases

Objective To explore the clinical characteristics and treatment of primary brain stem injury, and effect of compre-hensive treatment on it in children. Method The clinical data of 64 children with severe primary brain stem injury receiving com-prehensive treatments in our hospital from January, 1995 to October, 2001, were analyzed retrospectively. Results Of 64 children, 31 recovered very well, 4 were moderately disabled, 4 severely disabled, 8 vegetatively survived, and 17 died. Conclusions The pathoge-netic mechanism, clinical manifestation and treatment method of the severe primary brain stem injury in children are of characteristics which are different from those in adults. The prognosis of severe primary brain stem injury in children is better than that in adults.